Organization Active NPI

Steven Naltsas MD Inc

Doing business as Academy Physicians of Dermatology Medical Group

  • Dermatopathology Physician
  • Granada Hills, CA
National Provider Identifier
1063694297
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
C37351 Issued in CA
Legal business name
STEVEN NALTSAS MD INC
Doing business as
Academy Physicians of Dermatology Medical Group
Practice address
10515 Balboa Blvd Ste 250
Granada Hills, CA 91344-6361
Phone
(818) 368-5175
Fax
(818) 368-5111
NPI assigned
Nov 29, 2007
Last updated
Mar 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Steven Naltsas, MD
Title
Owner
Phone
(818) 368-5175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X C37351 CA Primary

Addresses

Primary practice location

10515 Balboa Blvd Ste 250
Granada Hills, CA 91344-6361

Mailing address

10515 Balboa Blvd Ste 250
Granada Hills, CA 91344-6361
Phone (818) 368-5175

Other names 1

  • ACADEMY PHYSICIANS OF DERMATOLOGY MEDICAL GROUP Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1063694297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 BALBOA BLVD STE 250",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446361",
            "telephone_number": "818-368-5175",
            "fax_number": "818-368-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 BALBOA BLVD STE 250",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446361",
            "telephone_number": "818-368-5175",
            "fax_number": "818-368-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN NALTSAS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "NALTSAS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-368-5175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "C37351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACADEMY PHYSICIANS OF DERMATOLOGY MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.